Olive Branch Dermatology LLC
NPI 1750197794 · Dermatology Physician · Hoover, AL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Olive Branch Dermatology LLC is a Dermatology Physician organization in Hoover, AL (NPI 1750197794).
Provider details
- NPI number
- 1750197794
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Amena Alkeswani, Practice Owner(727) 504-5883
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-12-04
- Last updated
- 2025-01-30
- Certified
- 2025-01-30
Frequently asked questions
- What is Olive Branch Dermatology LLC's NPI number?
- Olive Branch Dermatology LLC's National Provider Identifier (NPI) is 1750197794, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Olive Branch Dermatology LLC?
- Olive Branch Dermatology LLC is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Olive Branch Dermatology LLC located?
- Olive Branch Dermatology LLC's practice location on file with NPPES is 4721 Chace Cir, Hoover, AL 35244-3700.
- What is Olive Branch Dermatology LLC's phone number?
- The practice phone number listed in the NPPES registry for Olive Branch Dermatology LLC is (205) 266-9011.
- Does Olive Branch Dermatology LLC accept Medicare?
- Olive Branch Dermatology LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Olive Branch Dermatology LLC?
- The authorized official listed on Olive Branch Dermatology LLC's NPPES record is Amena Alkeswani, Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Olive Branch Dermatology LLC's NPI active?
- Yes — Olive Branch Dermatology LLC's NPI (1750197794) is active in the NPPES registry as of the last update on 2025-01-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.